Individual provider Active NPI

John Thomas Fitch Jr., M.D.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1972502649
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K8152 Issued in TX
Practice address
7959 Broadway St
Suite 604
San Antonio, TX 78209-2667
Phone
(210) 826-1891
Fax
(210) 826-4335
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K8152 TX Primary

Addresses

Primary practice location

7959 Broadway St
Suite 604
San Antonio, TX 78209-2667

Mailing address

7959 Broadway St
Suite 604
San Antonio, TX 78209-2667
Phone (210) 826-1891

Other identifiers 2

IdentifierTypeStateIssuer
80821XOtherTXBLUE CROSS BLUE SHIELD
5805700OtherTXAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K8152TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Pediatrics, PLLC Pediatrics Past Accepting new patients
J. Thomas Fitch M.D. PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972502649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 BROADWAY ST",
            "address_2": "SUITE 604",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092667",
            "telephone_number": "210-826-1891",
            "fax_number": "210-826-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7959 BROADWAY ST",
            "address_2": "SUITE 604",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092667",
            "telephone_number": "210-826-1891",
            "fax_number": "210-826-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K8152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80821X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5805700",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.